Comparison of open, laparoscopic, and hand-assisted approaches to live-donor nephrectomy

Abstract

Minimally invasive donor nephrectomy is safe and effective for procuring normally functioning organs for live-donor transplantation. Of the two minimally invasive approaches examined, the hand-assisted technique was found to afford a number of important advantages, including facilitating teaching of residents and students, that it is more readily mastered by transplant surgeons, and that it may provide an additional margin of safety for the donor.

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

“…Many studies demonstrated an improvement of donor outcome by means of minimally invasive techniques [4][5][6][7]. Furthermore, there is evidence that endoscopic minimalinvasive kidney donation can increase the number of kidney donations because of shorter hospital stay, earlier return to work, good cosmetic outcome and better overall patient satisfaction [8][9][10][11].…”

Novel Renal Transplant-Related Surgical Approaches in the 21st Century

“…The benefits of the LLDN include smaller wounds, less pain, earlier resumption of oral intake, and faster recuperation and earlier return to previous life style and to work. Nowadays, LLDN has been the surgery of choice for harvesting a kidney from a live donor (Kercher et al,2003;Troppmannet al, 2003;Tooher et al, 2004;Velidedeoglu et al, 2002).…”

“…Evidences showed that the post-operative pain and quality of life of the donors, either operated by the hand assisted approach or the pure laparoscopic approach are similar, and both are significantly better that those of the traditional open approach (Velidedeoglu et al, 2002;Kercher et al, 2003;Troppmann et al, 2003;Mjøen et al, 2010;Leventhal et al, 2010). Laparoscopic LDN has evolved to be the surgery of choice for live kidney donors.…”

Nefrectomía radical laparoscópica

“…En nuestra opinión, está técnica puede tener sus indicaciones en determinadas cirugías que se prevean complicadas por el tamaño tumoral, la nefroureterectomía 19 , en la nefrectomía bilateral (decúbito supino) por enfermedad poliquística autosómica dominante 20 y en la nefrectomía del donante vivo [21][22][23] .…”